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General NPI Number Information
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NPI Number | 1619481488
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Entity Type | Organization
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Legal Business Name | SAILABLLC
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 3813 JUNCTION BLVD
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City | RALEIGH
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State | NC
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Zip | 27603-5264
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Country | US
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Telephone | 919-338-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 3326 DURHAM CHAPEL HILL BLVD STE 110A
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City | DURHAM
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State | NC
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Zip | 27707-6261
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Country | US
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Telephone | 919-338-7900
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Fax | 919-338-7906
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Authorized Official
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Title or Position | PRESIDENT
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Name | SENTHIL KUMAR S ASOK KUMAR
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Credential |
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Telephone | 919-999-7805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 03D2098042
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License Number State | NC
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